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Maryville NURS 623 Exam 4, NURS 623 exam 4- Questions and Answers
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Maryville NURS 623 Exam 4, NURS 623 exam 4-Questions and Answers
Diagnosing of Alzheimer's Correct Ans-Impaired ability to learn new info along with a
disturbance in language, function, or perception
S/S of Alzheimer's Correct Ans-*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)? Correct Ans-*T-remor at rest (or pill rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? Correct Ans-Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the most concern?
Correct Ans-It's the worst headache I've ever had
, Maryville NURS 623 Exam 4, NURS 623 exam 4-
Questions and Answers
the headache from a subdural hematoma is of venous origin, typically resulting from ahead
injury that is usually mild and easily forgotten by the patient. Correct Ans-Temporal
arteritis
s/s of temporal (giant cell) arteritis Correct Ans-* unilateral HA (temporal artery, orbital)
* jaw claudication (pain with chewing)
* temporary blindness
(Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips)
What age group is at higher risk for temporal arteritis Correct Ans->50
Clinical manifestations of Articular disorders? Correct Ans-*characterized by deep or
diffuse pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? Correct Ans-*Tend to be painful on
active but not passive (assisted) ROM.
*Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
, Maryville NURS 623 Exam 4, NURS 623 exam 4-
Questions and Answers
What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy? Correct Ans-The straight leg raise (assesses L5-S1). pain would indicate
most common disc herniation
What cranial nerve is affected in Bell's Palsy? Correct Ans-CN VII
What is important to note when a patient has traumatic injury Correct Ans-If taking Blood
Thinners
Define delirium Correct Ans-Underlying acute cause, abrupt onset, hours to days,
reversible, hallucinations, incoherent speech, confusion
Define Dementia Correct Ans-Various causes, gradual change with mental status, months
to years, progressive to irreversible (speech, memory, mood, judgment)
An older adult with delirium would present with what type of behaviors? Correct Ans-
Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? Correct Ans-
Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls? Correct Ans-History of falls
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